FORM 1023-EZ for ONE INTERNATIONAL POVERTY RELIEF USA

Field Data
EIN 46-4146764
Case Number EO-2014279-000521
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE INTERNATIONAL POVERTY RELIEF USA
Organization’s Mailing Address 201 MARINA DRIVE - APT 507
City TUSCALOOSA
State AL
ZIP 35406-3241
Accounting period End 12
Primary contact name DAVID SAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID SAMS
SECRETARY
201 MARINA DRIVE - APT 507
TUSCALOOSA AL 35406-3241

Officer/Director/Trustee Two

HONEY BLAKEMAN
TREASURER
229 SOUTH CRESCENT BOULEVARD
BEVERLY HILLS CA 90212-4001

Officer/Director/Trustee Three

GORDON SUSTRIK
VICE-PRESIDENT
527 VILLAGE DRIVE
SHERWOOD PARK - CAN

Organization’s website
Organization’s email DAVIDMSAMS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2013
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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